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Atrial Fibrillation: Management and Stroke Prevention
The treatment of people with atrial fibrillation (AF), which is shifting toward a more integrative or holistic approach to care, centers on the prevention of strokes. According to published data, managing patients with atrial fibrillation (AF) with a comprehensive approach based on the Atrial fibrillation Better Care (ABC) pathway is linked to a decreased risk of adverse events and stroke. For AF patients to prevent stroke, risk assessment, reassessment, and the administration of direct oral anticoagulants (DOACs) are crucial. Patients with AF should have their risks of bleeding and stroke routinely reevaluated because they are not static. The goal of bleeding risk assessment is to identify individuals at high risk for early review and follow-up, as well as to address and mitigate modifiable bleeding risk factors. Additionally crucial are well-managed comorbidities and healthy lifestyles.
About the Speaker

Dr. Rishi Lohiya
Consultant Interventional Cardiologist , KIMS Kingsway hospital and Healthy Heart Clinic, Nagpur
Dr. Rishi Lohiya is a Consultant Interventional Cardiologist , KIMS Kingsway hospital and Healthy Heart Clinic, Nagpur
Upcoming Case Discussions
Acne: Disorders and Treatment Approaches
Acne is a common dermatological condition caused by clogged pores, excess sebum production, bacterial growth, and inflammation. It can manifest as blackheads, whiteheads, papules, pustules, or cysts, often leading to scarring if untreated. Various factors, including hormonal changes, diet, stress, and genetics, influence its severity. Treatment approaches range from topical and oral medications, such as retinoids, antibiotics, and hormonal therapy, to advanced procedures like chemical peels and laser therapy. A personalized skincare regimen, along with lifestyle modifications, plays a crucial role in managing and preventing acne.
Congenital Uterine Anomalies
Congenital uterine anomalies are structural abnormalities of the uterus resulting from improper fusion, canalization, or resorption of the Müllerian ducts during fetal development. These anomalies include septate, bicornuate, unicornuate, and didelphys uterus, among others. They can be asymptomatic or associated with infertility, recurrent pregnancy loss, preterm birth, or abnormal menstruation. Diagnosis is typically made using imaging modalities like ultrasound, MRI, or hysterosalpingography. Treatment depends on the type and severity of the anomaly, with surgical correction such as hysteroscopic septum resection often indicated in symptomatic cases. Early detection is crucial for optimizing reproductive outcomes and guiding appropriate management strategies.
Management of Postoperative Pain: Best Practices for GP’s
Effective management of postoperative pain is crucial for promoting recovery and preventing complications. General practitioners should start by assessing pain severity using appropriate scales, then tailor the treatment plan based on the patient's medical history and the type of surgery. A combination of pharmacological approaches, such as non-opioid analgesics (e.g., NSAIDs) and opioids when necessary, should be used to minimize pain while reducing the risk of addiction. Multimodal strategies, including physical therapy and non-pharmacological techniques like cold therapy or mindfulness, can further enhance pain relief. Close follow-up is essential to adjust the treatment as needed and ensure the patient's pain is well-controlled.
Diabetes and Stem Cells: What Does the Future Hold?
The future of diabetes treatment may be revolutionized by stem cell research, offering hope for a long-term cure. Scientists are developing stem cell therapies that could regenerate insulin-producing beta cells in the pancreas, potentially restoring natural insulin production in people with type 1 diabetes. Early clinical trials have shown promising results, with some patients reducing or eliminating their need for insulin injections. While challenges like immune rejection and long-term efficacy remain, continued advancements suggest stem cell therapy could significantly change diabetes management in the coming years.